• Title/Summary/Keyword: Upper limbs

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The Effects of Manual Passive Exercise Performed by Physical Therapists on Autonomic Nervous System (물리치료사에 의해서 실시되는 도수수동 운동이 자율신경계에 미치는 영향)

  • Kim, In-Bae;Kim, Chung-Yoo;Kim, Eun-Kyung;Shin, Han-Ki;Kang, Jong-Ho
    • Journal of the Korean Society of Physical Medicine
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    • v.10 no.1
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    • pp.9-14
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    • 2015
  • PURPOSE: The purpose of this study was to investigate the effects of ten minutes of manual passive exercise performed by physical therapists on autonomic nervous system. METHODS: Thirty-five healthy adults, both male and female, were chosen as subjects for this study. The autonomic nervous system was measured by heart rate variability (HRV),before and after passive exercise using the following measurements: mean heart rate (mean HRT), low frequency (LF) and high frequency (HF) components, the LF/HF ratio, root mean square of the successive differences (RMSSD), and the HRV index. The exercise was performed on the subjects by a physical therapist with seven years of experience specializing in the nervous system. The exercise was conducted at the mid-range of motion on the upper and lower limbs of the subjects for two minutes and thirty seconds and for a total of ten minutes. RESULTS: There was a significant increase in the LF component. The mean HRT and the LF/HF ratio both increased, but these increases were not significant. The HF component, RMSSD, and HRV index all decreased, but these decreases were not significant. CONCLUSION: In conclusion, mid-range manual passive exercise does not induce stress on the autonomic nervous system. It can safely be performed by a physical therapist.

The Understanding of The Ideomotor Apraxia: Focusing on The Neurological Causes (관념운동실행증의 이해: 신경학적 원인을 중심으로)

  • Shin, Su-Jung;Lee, Joo-Hyun;Park, Jin-Hyuck
    • Therapeutic Science for Rehabilitation
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    • v.4 no.1
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    • pp.19-28
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    • 2015
  • Introduction : The Understanding of neurological lesion relating to apraxia will help to predict symptoms according to a lesion and to establish a proper treatment and goal. So, This study will explain causes and mechanism of a movement error of ideomotor apraxia through literature review and also will suggest the evidence using in treatment. Body : Ideomotor apraxia may occur a damage of the production part in praxis system, and is common in damage of a cortex rater than damage of a subcortex. According to study with gesture, movement of upper limbs is relate of left parietal lobe but finger movement is relate of frontal lobe. The visual and tactile stimulation through using real objects could guide into proper movement aside from memory of a skilled action. Conclusion : Praxis can occur through diverse neurological processing and various external stimulations can help praxis processing. Therefore, the treatment of ideomotor apraxia need to use this stimulations.

Analysis of the Uncertainty of Compressive Forces Acting on the Patella by Using Multi-Body Modeling and Muscle Mechanics (다물체 모델링과 근의 특성을 이용한 무릎뼈에 가해지는 압력의 불확실성 추정 연구)

  • NamGoong, Hong;Yoo, Hong-Hee
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.35 no.7
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    • pp.785-790
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    • 2011
  • The goal of this study is to estimate the force acting on the knee joint in the human body by using the Hilltype muscle model based on a musculoskeletal model of the human lower extremity in the sagittal plane. For estimating the force applied, the human leg is modeled using multi-body modeling. This leg model comprises biarticular muscles acting on two joints of the upper and lower limbs, and the muscles include some of the major muscles such as the hamstring. In order to analyze the uncertainty of the applied forces acting on the knee joint, statistical distributions of human body, leg part, parameters are required and to obtain the parameter's statistical characteristic of the part sample survey method is employed. Finally, by using the sensitivity information of the parameters, the force acting on the knee joint can be estimated.

Sport Iinjuries by Body Parts in National Judo Athletes: A Retrospective Study (국가대표 유도선수의 신체부위별 스포츠상해에 대한 후향적 연구)

  • Kim, Hye-Young;Chung, Eun-Jung;Lee, Byoung-Hee
    • The Journal of the Korea Contents Association
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    • v.20 no.3
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    • pp.661-670
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    • 2020
  • The purpose of this study was to investigate the incidence of sports injury and trend of incidence pattern of national judo athletes. The research method was analyzed based on the records of all injuries experienced by national judo athletes during training and competition for 9 years from 2008 to 2016. A total of 20,345 sports injuries requiring physical therapy were 10,768 (52.93%) for women, 9,577 (47.07%) for men, lower extremities 9,688 (47.62%), upper limbs 5,807 (28.54%), and trunk 4,850 (23.84%) and knee-related injuries (27.82%) occur more frequently than other injuries. Shoulders, feet and back were more frequent in male athletes, and ankle, neck and hand injuries were more common in female athletes. Using the binomial trend line, the trend of the decrease of sports injuries in each area was shown. However, infrequent injuries such as hands and hips tend to increase gradually. The results of this study are expected to be used as a training program for judo athletes' sports injury and basic data.

The Association of Workplace Psychosocial Factors and Musculoskeletal Pain Among Korean Emotional Laborers

  • Baek, Kiook;Yang, Seonhee;Lee, Miyoung;Chung, Insung
    • Safety and Health at Work
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    • v.9 no.2
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    • pp.216-223
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    • 2018
  • Background: Many studies have reported negative psychological or physical effects of emotional labor. Relationship between work-related musculoskeletal disorder and psychosocial factors has been reported. To manage organizational and psychosocial factors of musculoskeletal disorder with work place intervention among emotional laborers, the factors contributing to musculoskeletal pain must be identified and clarified. Methods: Data from the fourth Korean Working Conditions Survey was analyzed. Based on the questionnaire, we selected emotional laborers and included 3,979 participants, excluding participants whose variables were of interest to the researcher. Weight variable was applied. The association with musculoskeletal pain and psychosocial factors, such as workload, monotonous work, job control, social support, and job satisfaction, was investigated. Results: Univariate analysis demonstrated that there was a statistically significant relationship between social support, job satisfaction, and musculoskeletal pain. In multivariate analysis, job satisfaction showed a strong correlation with musculoskeletal pain at all sites. Social support was significantly associated with backache. Monotonous work seemed to reduce the pain in the neck and/or upper limbs. Job control and work intensity were not significantly associated with musculoskeletal pain. Conclusion: In this study, job satisfaction was significantly associated with musculoskeletal pain, and social support among the social psychological stressors could reduce musculoskeletal pain. However, unlike previously known, the presence of monotonous work resulted in reduced musculoskeletal pain. The results of this study will help to establish the direction of improvement of atmosphere in the workplace to prevent the musculoskeletal pain of emotional laborers.

${\ll}$황제내경(黃帝內經)${\gg}$ 의 표본(標本) 의미에 대한 분석적(分析的) 연구(硏究)

  • Kim Jung-Han;Kim Dong-Gwan
    • Journal of Korean Medical classics
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    • v.13 no.1
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    • pp.17-43
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    • 2000
  • This study on the conception of Pyo Bon expressed in Hwang Jae Nai Kyung was summarized as follows: 1. The conception of Pyo Bon in the Yi Jung Byun Gi Lon(移精變氣論) and Tang Eak Yo Le Lon(湯液료醴論) of So Moon(素問) is that Pyo means the doctor and Bon means the disease. The Pyo Bon of this chapter has a meaning of time, namely first and last. 2. The conception of Pyo Bon in the Soo Yul Hyul Lon(水熱穴論) of So Moon is that Pyo means the lung and Bon means the kidney. The Pyo Bon of this chapter has a meaning of space, namely the upper and lower sides. 3. The conception of Pyo Bon in the Pyo Bon Byung Jun Lon(標本病傳論) of So Moon is that Pyo means a earlier disease and Bon means a later disease. The Pyo Bon of this chapter has a meaning of time, namely first and last. 4. The conception of Pyo Bon in the Chun Won Gi Dae Lon(天元紀大論), Yug Mi Ji Dae Lon(六微旨大論) and Ji Jin Yo Dae Lon(至眞要大論) of So Moon is that Pyo means a Yug Gi(六氣), namely wind, cold, heat, dampness, dryness, fire and Bon means a Sam Eum Sam Yang(三陰三陽), The Pyo Bon of this chapter includes a meaning of time and space. 5. The conception of Pyo Bon in the Sa Jun(師傳) of Yung Chu(靈樞) is that Pyo means a inside of the body and Bon means a outside of the body. The Pyo Bon of this chapter a meaning of space, namely the inside and outside. 6. The conception of Pyo Bon in the Wi Gi(衛氣) of Yung Chu is that Pyo means the end of limbs and Bon means the part of head, face, chest, abdomen, back. The Pyo Bon of this chapter has a meaning of space, namely center and circumference.

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Effects on Improvement of Activities of Daily Living Through Short-Term Home Visiting Physical Therapy (단기 가정방문물리치료 시행이 일상생활동작의 개선에 미치는 효과)

  • An, Duk-Hyun
    • Physical Therapy Korea
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    • v.14 no.2
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    • pp.53-60
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    • 2007
  • The objective of this study was to discover the effects of the short-term home visiting physical therapy program involving patients with some chronic brain disorders at Gimhae City, Kyongnam. Recovery of activities of daily living (ADL) is a very important factor of rehabilitative procedures, and Functional Independence Measure (FIM) is a useful standard of evaluation for it. The FIM is widely used in brain disorder research because it measures real functional activities of daily living. We applied the physical therapy exercise program twice per week (10~15 times repeatedly); a warm-up and cool down exercise performed every ten minutes by active & active-assistive ROM and stretching exercises. Main exercises were composed of getting up & laying down in bed, standing training, walking exercise in the room, and window or wall sliding exercise using affected upper limbs for a total duration of 30 minutes. We collected the data from 20 patients with chronic brain disorders at his/her home and analyzed by means of SPSS/PC+ program (Ver. 10.0). After the six week long physical therapy exercise program, the average was $56.10{\pm}22.59$ point compared with initial $50.55{\pm}19.12$ point by FIM, improved functional ADL ability about 5.55 point, and these changed scores were statistically significant (p=.000). We also studied another factor regarding patient's satisfaction. The majority of subjects (10 people) rated the program with the maximum score of ten points (50.0%), and three people rated it a seven point program (15.0%), the other two subjects gave a rating of nine and eight points (10.0%). Because the program was effective at improving the physical ADL ability and satisfaction of each subject, we suggest continual development and implementation of a home visiting physical therapy program. Further study should involve a longer period of observation with a larger population that is involved in an individually designed home physical therapy program.

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Development of an Ergonomic Checklist for the Investigation of Work-related Lower Limb Disorders in Farming - ALLA: Agricultural Lower-Limb Assessment (농작업에서 발생하는 하지자세의 근골격계 질환 위험도 평가를 위한 인간공학적 평가도구 개발)

  • Kong, Yong-Ku;Han, Jun-Goo;Kim, Dae-Min
    • Journal of the Ergonomics Society of Korea
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    • v.29 no.6
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    • pp.933-942
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    • 2010
  • Objective: To develop an ergonomic evaluation tool which can be apply to assess the lower-limb postures associated with farming tasks. Background: In general, most of existing ergonomic assessment tools was developed to investigate the work-related musculoskeletal disorders of the upper-limb postures in manufacturing industry. Methods: As the first step of development of the evaluation tool, 13 lower-limb postures that were commonly observed in farming task were investigated by the subjective discomfort ratings, heart rates, and muscle activities. And then, an ergonomic evaluation tool for the lower-limb postures was developed based on results of the first experiment. Lastly, the ergonomic checklist which was developed in the current study was compared with other existing ergonomic assessment tools. Results: Based on the results of comparisons between a newly developed assessment tool and other existing assessment tools, it was found that a newly developed tool can perceive more sensitively for the various lower-limb postures than other assessment tools. Conclusions: Lower-limb posture assessment tool which can evaluate and assess risks of lower-limb WMSDs which were prevalent in farming tasks more easily and accurately was developed in this study. The lower-limb assessment tool can also be utilized to prevent WMSDs related with lower-limbs as well as improve working environments.

Development of a Mouse for Alternative Computer Access Using Smart Device (스마트기기를 이용한 컴퓨터 대체접근 마우스 개발)

  • Jang, U.H.;Hong, W.K.;Kim, C.G.;Song, B.S.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.8 no.1
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    • pp.47-55
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    • 2014
  • Almost of alternate computer access devices which assist people with disabilities to utilize the computer connected to computer by some cables or installed in as a S/W program. These devices have some spatial limitations to the people with disabilities, it can't guarantee the free and diverse access to the computer. For these reasons, in this paper, an Android-based mouse program for alternative computer access was developed. A people with physical disabilities who has some limitation of hand movements can use it in anywhere and anytime using only the fine motor skill of the upper limbs. The developed device recognizes the user's point touch and transforms it into the location of mouse cursor. The location information transferred to the computer via Bluetooth communication module equipped in smart devices. Also the group scanning method which can reduce the user's fatigue degree was employed and click, double click, drag & drop functions by hand's movements were equipped. The developed device will help the people with disabilities to use computer with brief touch and convenient operation without spatial limitation.

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Effects of Therapeutic Climbing Training on the Balance and Gait Ability in Chronic Stroke Patients

  • Lee, Soin;Ko, Mingyun;Park, Seju
    • Journal of International Academy of Physical Therapy Research
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    • v.11 no.3
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    • pp.2126-2134
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    • 2020
  • Background: Therapeutic climbing training, which originated in Germany, is a wall-hanging rock climbing-based therapy to increase the body's coordination through movement of the upper and lower limbs against gravity. However, there are no studies examining the effectiveness of therapeutic climbing training to treat balance and gait ability in patients with chronic stroke. Objectives: To investigate therapeutic climbing training program on balance and gait in patients with chronic stroke. Design: Pretest-posttest control group design. Methods: Fourteen patients with chronic hemiplegic stroke participated. Participants were randomized into the therapeutic climbing training group (TCTG, n=7) and the standard rehabilitation program group (SRPG, n=7) group. All subjects participated in the same standard rehabilitation program consisting of 60 minutes 5 times a week for 6 weeks. TCTG participated additionally in the therapeutic climbing program consisting of 30 minutes sessions 3 times a week for the same 6 weeks. Berg balance scale (BBS), Gaitview Measure, Timed up and go test (TUG) were measured. Results: In the TCTG, revealed a statistical difference in BBS between the groups; in the difference of plantar pressure ratio in the static standing position revealed a statistical difference between the groups after training; the balance ability in the one-leg standing tests increased significantly; the time in TUG decreased significantly after training in both groups; The changes in the difference of dynamic plantar pressure ratio were reduced significantly in the TCTG. Conclusion: Therapeutic climbing training contribute to improve balance and walking function in patients with chronic stroke.